HomeMy WebLinkAbout231339 04/08/14 CITY OF CARMEL, INDIANA VENDOR: 226500
ONE CIVIC SQUARE NORTHERN SAFETY CO, INC CHECK AMOUNT: S"""`237.45"
CARMEL, INDIANA 46032 PO BOX 4250 CHECK NUMBER: 231339
•r, oN�° UTICA NY 13504 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239012 900820103 237.45 SAFETY SUPPLIES
NORTHERN Remember... We Always Offer
° I Our Lowest Price When You Order. PLEASE REMIT TO:
PO Box 4250 • Utica, NY 13504-4250 100%Satisfaction Guaranteed! NORTHERN SAFETY CO.,INC.
Phone: 800.631.1246• Fax: 800.635.1591 P.O. Box 4250
northernsafety.com Utica, NY 13504-4250
SHIP TO(IF OTHER THAN"SOLD TO")
• ° • • • YOUR CUSTOMER ID r Carmel Clay Parks&Recreation
4816021 Courtney
1427 E. 116TH STREET
SOLD Carmel Clay Parks&Recreation CARMEL IN 46032
TO: y
USA
1411 E 1 16th St
CARMEL IN 46032-3455 L
USA MAR 2 4 2014
y� XX-345 03/20/2014
BY: . _j
YOUR PURCHASE ORDER NUMBER AND DATE
OUR
INVOICE NO./ORDER NO. INVOICE DATE SHIPPED VIA DATE SHIPPED PAYMENT DUE BY 04/19/2014
00820103/980264650 03/20/2014 FEDEX GROUND 03/20/2014 IF PAID BY 04/09/2014 PAY $ 233.10
ORDERED SHIPPED ITEM NO. UOM DESCRIPTION UNIT PRICE EXTENDED AMOUNT
12 12 26523 EA ZTEK EYEWR GY LENS s2520s 2.96 35.52
3 3 26491 EA OTS OVER THE GLASS GY LENS S3520SJ 4.39 13.17
5 5 19885 EA 2-IN-1 EYEWR CS 12PK NS MICRO 2.00 10.00
5 5 22888 EA LEIGHTNING L3 NRR 30 EAR MUFFS 1010924 24.47 122.35
1 1 23259 OE L EA NS HIVIS ECON CLS 2 OE L 13.99 13.99
3 3 4444 BX BAND-AID FABRIC STRIPS 1 X3 100BX 7.49 22.47
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SALES TAX SHIPPING&HANDLING
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1112%PER
MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE $ O.DD $ 19.95 $ 237.45
UNPAID BALANCE.
Payments must be payable in US dollars only
"2%discount does not apply to credit card payments Thank You for Your Order!
FEDERAL ID#16-1214814
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
226500 Northern Safety Co., Inc. Terms
P.O. Box 4250
Utica, NY 13504-4250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3120/14 900820103 Safety supplies xx345 $ 237.45
Total $ 237.45
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with Ic 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
226500 Northern Safety Co., Inc. Allowed 20
P.O. Box 4250
Utica, NY 13504-4250
In Sum of$
$ 237.45
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 900820103 4239012 $ 237.45 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
3-Apr 2014
Signature
$ 237.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund